Transient portal venous gas associated with reversible non-occlusive mesenteric ischemia: A case report.
Identifieur interne : 001294 ( PubMed/Corpus ); précédent : 001293; suivant : 001295Transient portal venous gas associated with reversible non-occlusive mesenteric ischemia: A case report.
Auteurs : Gaël Piton ; Brice Paquette ; Eric Delabrousse ; Gilles CapellierSource :
- International journal of surgery case reports [ 2210-2612 ] ; 2017.
Abstract
To report the utility of abdominal ultrasonography (US) to identify the presence of portal venous gas (PVG) during non-occlusive mesenteric ischemia (NOMI), and to follow the disappearance of portal venous gas after resolution of the NOMI.
DOI: 10.1016/j.ijscr.2017.05.041
PubMed: 28645011
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Transient portal venous gas associated with reversible non-occlusive mesenteric ischemia: A case report.</title>
<author><name sortKey="Piton, Gael" sort="Piton, Gael" uniqKey="Piton G" first="Gaël" last="Piton">Gaël Piton</name>
<affiliation><nlm:affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France. Electronic address: gpiton@chu-besancon.fr.</nlm:affiliation>
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<author><name sortKey="Paquette, Brice" sort="Paquette, Brice" uniqKey="Paquette B" first="Brice" last="Paquette">Brice Paquette</name>
<affiliation><nlm:affiliation>Digestive Surgery Unit, Besançon University Hospital, Besançon, France.</nlm:affiliation>
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<author><name sortKey="Delabrousse, Eric" sort="Delabrousse, Eric" uniqKey="Delabrousse E" first="Eric" last="Delabrousse">Eric Delabrousse</name>
<affiliation><nlm:affiliation>Visceral Radiology Unit, Besançon University Hospital, Besançon, France.</nlm:affiliation>
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<author><name sortKey="Capellier, Gilles" sort="Capellier, Gilles" uniqKey="Capellier G" first="Gilles" last="Capellier">Gilles Capellier</name>
<affiliation><nlm:affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Clayton, Australia; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Transient portal venous gas associated with reversible non-occlusive mesenteric ischemia: A case report.</title>
<author><name sortKey="Piton, Gael" sort="Piton, Gael" uniqKey="Piton G" first="Gaël" last="Piton">Gaël Piton</name>
<affiliation><nlm:affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France. Electronic address: gpiton@chu-besancon.fr.</nlm:affiliation>
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<author><name sortKey="Paquette, Brice" sort="Paquette, Brice" uniqKey="Paquette B" first="Brice" last="Paquette">Brice Paquette</name>
<affiliation><nlm:affiliation>Digestive Surgery Unit, Besançon University Hospital, Besançon, France.</nlm:affiliation>
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<author><name sortKey="Delabrousse, Eric" sort="Delabrousse, Eric" uniqKey="Delabrousse E" first="Eric" last="Delabrousse">Eric Delabrousse</name>
<affiliation><nlm:affiliation>Visceral Radiology Unit, Besançon University Hospital, Besançon, France.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Capellier, Gilles" sort="Capellier, Gilles" uniqKey="Capellier G" first="Gilles" last="Capellier">Gilles Capellier</name>
<affiliation><nlm:affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Clayton, Australia; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France.</nlm:affiliation>
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<series><title level="j">International journal of surgery case reports</title>
<idno type="ISSN">2210-2612</idno>
<imprint><date when="2017" type="published">2017</date>
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<front><div type="abstract" xml:lang="en">To report the utility of abdominal ultrasonography (US) to identify the presence of portal venous gas (PVG) during non-occlusive mesenteric ischemia (NOMI), and to follow the disappearance of portal venous gas after resolution of the NOMI.</div>
</front>
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<pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28645011</PMID>
<DateCreated><Year>2017</Year>
<Month>06</Month>
<Day>23</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>08</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2210-2612</ISSN>
<JournalIssue CitedMedium="Print"><Volume>37</Volume>
<PubDate><Year>2017</Year>
</PubDate>
</JournalIssue>
<Title>International journal of surgery case reports</Title>
<ISOAbbreviation>Int J Surg Case Rep</ISOAbbreviation>
</Journal>
<ArticleTitle>Transient portal venous gas associated with reversible non-occlusive mesenteric ischemia: A case report.</ArticleTitle>
<Pagination><MedlinePgn>76-78</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S2210-2612(17)30260-2</ELocationID>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To report the utility of abdominal ultrasonography (US) to identify the presence of portal venous gas (PVG) during non-occlusive mesenteric ischemia (NOMI), and to follow the disappearance of portal venous gas after resolution of the NOMI.</AbstractText>
<AbstractText Label="DATA SOURCES" NlmCategory="METHODS">This was a clinical observation of a patient, with images of abdominal computed tomography (CT), and a video of portal venous gas identified by ultrasonography.</AbstractText>
<AbstractText Label="DATA SYNTHESIS" NlmCategory="RESULTS">We describe the case of an adult patient admitted to our ICU for NOMI developing 48h after cardiac surgery. Medical intensive care associated with jejunal resection and vacuum-assisted closure led to rapid recovery. Three weeks later, the patient presented acute pulmonary edema, and developed a new episode of NOMI that was suspected by identification of PVG on US, and then confirmed on abdominal CT. The patient rapidly improved after orotracheal intubation and treatment of pulmonary edema. A second US performed 9h later showed disappearance of PVG. The laparotomy performed 10h after the first US did not find evidence of small bowel or colon ischemia. The postoperative period was uneventful.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">US is a useful tool for the detection of PVG in critically ill patients, prompting suspicion of AMI. PVG can be observed at the early phase of AMI, even before irreversible transmural gut ischemia; transient PVG that disappears rapidly (within several hours) may suggest resolution of the NOMI.</AbstractText>
<CopyrightInformation>Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Piton</LastName>
<ForeName>Gaël</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France. Electronic address: gpiton@chu-besancon.fr.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Paquette</LastName>
<ForeName>Brice</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Digestive Surgery Unit, Besançon University Hospital, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Delabrousse</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Visceral Radiology Unit, Besançon University Hospital, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Capellier</LastName>
<ForeName>Gilles</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Medical Intensive Care Unit, Besançon University Hospital, Besançon, France; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Clayton, Australia; Research Unit EA 3920 and SFR FED 4234, University of Franche Comté, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2017</Year>
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<MedlineJournalInfo><Country>Netherlands</Country>
<MedlineTA>Int J Surg Case Rep</MedlineTA>
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<ISSNLinking>2210-2612</ISSNLinking>
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</CommentsCorrections>
</CommentsCorrectionsList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute mesenteric ischemia</Keyword>
<Keyword MajorTopicYN="N">Computed tomography</Keyword>
<Keyword MajorTopicYN="N">Portal venous gas</Keyword>
<Keyword MajorTopicYN="N">Ultrasonography</Keyword>
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